HIPPY Eligibility Screener 
We are excited that you are interested in the HIPPY Program. Please fill out the form below, and someone from our office will be in touch once your information has been reviewed.
Email *
Parent First Name & Last Name 
Address 
Is your child a USA citizen?
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What is your phone number?
Do you reside in Alachua County?
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How many children do you have aged 2-4 in your home?
Preferred Language 
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Eligibility Categories  Please choose as it relates to your household  *
Required
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